| NPI | 1598360653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58157) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW111482) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928644) | |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2023-01-17 |